Active NPI
Robert Peter Kupsc, O.D.
- Optometrist
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3152
- Practice address
- 21 Torrey St Ste 10
Brockton, MA 02301-4849 - Phone
- (508) 587-0012
- Fax
- (508) 587-0112
- NPI assigned
- Feb 7, 2007
- Last updated
- Jan 23, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3152 | MA | Primary |
Addresses
Primary practice location
21 Torrey St Ste 10
Brockton, MA 02301-4849
Mailing address
119 Piermont St
Quincy, MA 02170-2517
Phone (617) 770-2832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0717959 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Torrey St
Suite 21a
Brockton, MA 02301-4849
Phone (508) 587-8344
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.57 of 100
- Quality
- 82.46
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3152 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Health Associates Inc | Current | Accepting new patients | |
| Mass Optometric Associates, PLLC | Optometrist | Current | Accepting new patients |
| Mass Optometric Associates, PLLC | Optometrist | Current | Accepting new patients |
| Eye Health Associates Inc | Optometrist | Current | Accepting new patients |
| Clear Vision Eye Center,Inc | Current | Accepting new patients | |
| Hero Vision of Brockton, PC | Optometrist | Past | Accepting new patients |
Locations
700 Boston Rd
Billerica, MA 01821
Phone (978) 667-0481
70 Huttleston Ave
Fairhaven, MA 02719
Phone (508) 994-2020
51 State Rd
North Dartmouth, MA 02747
Phone (508) 994-1400
3 Woodland Rd
Ste 120
Stoneham, MA 02180
Phone (781) 979-0960
149 University Ave
Westwood, MA 02090
Phone (781) 326-2051
Interoperability endpoints
- robert.kupsc.p1@direct.bostoneyegroup.nextgenshare.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Stoneham, MA
- NPI 1063605251
-
- Eyewear Supplier
- Fairhaven, MA
- NPI 1699029892
-
- Optometrist
- Malden, MA
- NPI 1063610194
-
- Optometrist
- Attleboro, MA
- NPI 1972059723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232668800000",
"number": "1780724187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 PIERMONT ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021702517",
"telephone_number": "617-770-2832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 TORREY ST STE 10",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014849",
"telephone_number": "508-587-0012",
"fax_number": "508-587-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUPSC",
"first_name": "ROBERT",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2009-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0717959",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.